Severe Deep Bite + Impacted Canine Corrected Without Extractions

My goal was to open the severe impinging deep bite, create space for the upper left canine, and achieve a functional bite without extracting permanent teeth. His remaining growth was central to the treatment plan. I started with a rapid palatal expander to widen the upper arch and create space for the permanent canines. Once adequate room was available, the upper left canine erupted successfully. Because his excessive overjet prevented effective contact with anterior bite turbos, I placed bite turbos on the lower second premolars. These helped separate the bite and were intended to allow the other posterior teeth to erupt, helping open his severe deep bite. I chose Invisalign to provide anchorage and control lower incisor inclination during Class II elastic treatment. His lower incisors were already proclined, so avoiding further forward tipping was an important treatment priority. In this case, we were able to bring the lower incisors into a more upright position while using Class II elastics, reducing their inclination from 106 to 102 degrees. I used partial sequential distalization of the upper teeth to improve the dental relationship, but relied primarily on his remaining mandibular growth, supported by Class II elastics, to complete the Class II correction. This combined approach allowed us to bring the canine into the arch, improve his profile, and achieve a functional Class I bite while improving incisor inclination and avoiding permanent tooth extractions.